Question 1

The nurse is assigning tasks to assistive personnel (AP). Which information should the nurse review with the AP before assigning a client to feed?

Accepted Answer

A)  Stand next to the bed during the meal 
B)  Explain that toileting can occur after the meal 
C)  Assist the client to a position conducive to eating 
D)  Suggest the client avoid participating during the meal 
A)  Stand next to the bed during the meal 
B)  Explain that toileting can occur after the meal 
C)  Assist the client to a position conducive to eating 
D)  Suggest the client avoid participating during the meal C

Question 2

A client is prescribed an infusion of intralipids. Which action should the nurse take when providing this nutritional supplement?

Accepted Answer

A)  Wait for a central line to be inserted 
B)  Insert a 14 gauge catheter in the client 
C)  Provide the lipids through a peripheral catheter 
D)  Wait for a peripherally inserted central line to be placed 
A)  Wait for a central line to be inserted 
B)  Insert a 14 gauge catheter in the client 
C)  Provide the lipids through a peripheral catheter 
D)  Wait for a peripherally inserted central line to be placed C

Question 3

A client reports difficulty swallowing and having no appetite. For which nutritional issue should the nurse assess this client?

Accepted Answer

A)  Overnutrition 
B)  Undernutrition 
C)  Bulimia nervosa 
D)  Protein-calorie malnutrition (PCM) 
A)  Overnutrition 
B)  Undernutrition 
C)  Bulimia nervosa 
D)  Protein-calorie malnutrition (PCM) B

Question 4

A client is recovering from esophageal and stomach surgery. Which feeding approach should the nurse anticipate for this client?

Accepted Answer

A)  Nasogastric 
B)  Jejunostomy 
C)  Gastrostomy 
D)  Nasointestinal 
A)  Nasogastric 
B)  Jejunostomy 
C)  Gastrostomy 
D)  Nasointestinal

Question 5

The nurse is caring for an older adult client who is weak and has not been eating due to lack of strength. Which task could the nurse safely assign to the assistive personnel (AP)?

Accepted Answer

A)  Completing a nutritional screening 
B)  Determining why the client is feeling weak 
C)  Using therapeutic communication with the client to determine if psychosocial factors are influencing the ability to eat 
D)  Assisting the client with eating meals 
A)  Completing a nutritional screening 
B)  Determining why the client is feeling weak 
C)  Using therapeutic communication with the client to determine if psychosocial factors are influencing the ability to eat 
D)  Assisting the client with eating meals

Question 6

A client is receiving total parenteral nutrition (TPN) through a central vascular access device. Which should the nurse document when caring for this client? Select all that apply.

Accepted Answer

A)  Daily weight 
B)  Skin integrity 
C)  Rate of infusion 
D)  Vital signs q 4 hours 
E)  Capillary blood glucose level 
A)  Daily weight 
B)  Skin integrity 
C)  Rate of infusion 
D)  Vital signs q 4 hours 
E)  Capillary blood glucose level

Question 7

A client is prescribed cyclic feedings to be administered at night. Which should the nurse particularly assess in this client?

Accepted Answer

A)  Heart rate 
B)  Pulse oximeter 
C)  Blood pressure 
D)  Intake and output 
A)  Heart rate 
B)  Pulse oximeter 
C)  Blood pressure 
D)  Intake and output

Question 8

A client is being started on intermittent enteral feedings. How much formula should the nurse provide for the first feeding?

Accepted Answer

A)  120 mL 
B)  240 mL 
C)  360 mL 
D)  500 mL 
A)  120 mL 
B)  240 mL 
C)  360 mL 
D)  500 mL

Question 9

When administering a bolus enteral feeding, which information can the nurse safely omit when documenting?

Accepted Answer

A)  Stomach residual found prior to administering the feedings 
B)  Calories contained within the feeding 
C)  Client tolerance or concerns 
D)  Type and quantity of feeding administered 
A)  Stomach residual found prior to administering the feedings 
B)  Calories contained within the feeding 
C)  Client tolerance or concerns 
D)  Type and quantity of feeding administered

Exam 19: Feeding Clients

The nurse is assigning tasks to assistive personnel (AP). Which information should the nurse review with the AP before assigning a client to feed?

A client is prescribed an infusion of intralipids. Which action should the nurse take when providing this nutritional supplement?

A client reports difficulty swallowing and having no appetite. For which nutritional issue should the nurse assess this client?

A client is recovering from esophageal and stomach surgery. Which feeding approach should the nurse anticipate for this client?

The nurse is caring for an older adult client who is weak and has not been eating due to lack of strength. Which task could the nurse safely assign to the assistive personnel (AP)?

A client is receiving total parenteral nutrition (TPN) through a central vascular access device. Which should the nurse document when caring for this client? Select all that apply.

A client is prescribed cyclic feedings to be administered at night. Which should the nurse particularly assess in this client?

A client is being started on intermittent enteral feedings. How much formula should the nurse provide for the first feeding?

When administering a bolus enteral feeding, which information can the nurse safely omit when documenting?

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Injury Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

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